If you aren't having symptoms, then why the worry? Yes, cuffitis is UC of the cuff. But if it is manageable with rectal meds, then carry on with it. No need to worry about all the technical mumbo jumbo in scope reports. I'm not sure anyone gets a perfect pouch report. I surely would never miss a yearly scope though. To alleviate your worries, focus on the fact that you are relatively symptom free and you are fortunate to be that way off the antibiotics! Long term antiobiotics are not good for the overall state of your health. So if all you need are rectal meds to stay pretty well, then I think you are one successful jpoucher!